2019 ACA & Part-Time Coverage

ACA Medical Eligibility

If you are a part-time employee who becomes eligible for medical coverage under the Affordable Care Act (ACA), you will receive an email from Penn State Employee Benefits, along with a Workday Inbox message, alerting you to your eligibility. This information will be delivered to you by the end of November 2018. The deadline for enrollment changes based on ACA medical eligibility will be December 14, 2018, for coverage effective January 1, 2019. Please see the 2019 ACA Eligible Employee Contributions Per Pay chart below.

Grandfathered Part-Time Medical Eligibility (discontinued Policy HR05)

Individuals who became eligible on or before December 31, 2014 for the part-time health care plan will continue to be eligible for such provisions, provided:

  1. There is no involuntary or voluntary separation from University employment, for example if the employee leaves University employment for any period of time;
  2. The employee continues to be enrolled in the part-time health care plan, with applicable payment of health care plan premiums, with no drop of coverage;
  3. The employee transfers into a full-time benefits eligible position.

See Policy HR103 Employment Conditions for Part-Time, Intermittent/Short-Term & Full-Time Student Employees for established criteria for those grandfathered under discontinued Policy HR05 prior to December 31, 2014.

As previously communicated with the discontinuation of Policy HR05, there will no longer be an open enrollment period for part-time employees covered under this grandfathered plan. Changes may only be made with a qualifying life status change (marriage, divorce, birth, adoption, etc.).

There are two changes for the grandfathered part-time medical eligible group; change to tier structure and cost based on tier. Please see the 2019 Grandfathered Part-Time Eligible Employee Contributions Per Pay.

2019 Premiums for ACA & Part-Time Coverage

2019 ACA Eligible Employee Contributions Per Pay
Tier Level Monthly PPO Savings Plan Bi-Weekly PPO Savings Plan Monthly PPO Plan Bi-Weekly PPO Plan
Individual $22.75 $10.50 $44.04 $20.33
Employee + Spouse $55.13 $25.44 $107.33 $49.54
Employee + Child(ren) $51.04 $23.56 $99.46 $45.90
Family $70.29 $32.44 $136.79 $63.13
2019 Grandfathered Part-Time Eligible Employee Contributions Per Pay
Tier Level Monthly PPO Plan Bi-Weekly PPO Plan
Individual $44.04 $20.33
Employee + Spouse $107.33 $49.54
Employee + Child(ren) $99.46 $45.90
Family $136.79 $63.13